2025 Health Expo Vendor Registration Form

Name of Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Contact Person

Phone

Service Description

Description of booth/display

Screening Service (A/V) needs:

Activity/Demonstration

Awareness Information

Giveaways

Door Prize(s) Donation

You will be provided with (1) table and (2) chairs. If you need additional items, please specify below (i.e. electrical outlets):